OSTEOSYNTHESIS OF A SCAPHOID NECK FRACTURE WITH A CANNULATED COMPRESSION SCREW: EVALUATION OF 52 PATIENTS.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2023-10-23 eCollection Date: 2023-01-01 DOI:10.1590/1413-785220233105e264116

Lucas Bernardo Carvalho DE Almeida, Victor Martins Manfredi, Igor Arthur Parron Costa, Fábio Sano Imoto, Eiffel Tsuioshi Dobashi, Thiago Bernardo Carvalho DE Almeida, Luciano Miller Reis Rodrigues

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Abstract

Objective: To evaluate the effectiveness of the dorsal fixation technique with a cannulated compression screw (CCS) for transverse scaphoid neck fractures.

Methods: A case series study was carried out with patients treated with a CSS between April 2014 and May 2021. The main outcome was the healing of the fracture, verified by radiographic evaluation that used images of the wrist in anteroposterior, lateral, radial deviation, ulnar deviation and oblique views, obtained in the postoperative period.

Results: Fifty-two patients aged between 15 and 65 years were analyzed, of which 43 (83%) were male. Of the 52 patients, 19 (36.53%) had a right-hand injury and 33 (63.46%) had a left-hand injury. Results were excellent in 47 patients (90.38%); good in 4 patients (7.69%), with reduced mobility compared to contralateral and poor in 1 patient (1.92%), with failure of consolidation and breakage of the synthesis material. In 51 cases (99%) there was bone consolidation at the end of six months.

Conclusion: Osteosynthesis with a cannulated compression screw is a safe, effective and promising method for the treatment of scaphoid neck fractures. Level of Evidence IV, Case Series.

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空心加压螺钉内固定舟颈骨折52例疗效评价。

目的：评价套管加压螺钉背侧固定技术治疗舟状骨颈横骨折的疗效。方法：对2014年4月至2021年5月期间接受CSS治疗的患者进行病例系列研究。主要结果是骨折的愈合，通过术后获得的腕关节前后、外侧、桡骨偏移、尺骨偏移和斜视图的放射学评估进行验证。结果：对52例年龄在15至65岁之间的患者进行了分析，其中43例（83%）为男性。在52名患者中，19名（36.53%）右手受伤，33名（63.46%）左手受伤。结果优良47例（90.38%）；良好4例（7.69%），与对侧相比活动性降低，较差1例（1.92%），合并失败和合成材料断裂。51例（99%）在6个月结束时出现骨固结。结论：套管加压螺钉接骨术是一种安全、有效、有前景的治疗腕舟骨颈骨折的方法。证据等级IV，案例系列。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.